Decision-Making Hobbled in Alcoholics With Multiple Disorders

Abusers with mental illness further undermine brain's ability to foresee consequences

TUESDAY, Sept. 26, 2006 (HealthDay News) -- Alcoholics with personality disorders are even more likely to have problems making decisions, according to new research.

In a study appearing in the October issue of Alcoholism: Clinical & Experimental Research, researchers from the Alexian Brothers Psychiatric Center in Belgium compared the decision-making abilities of a group of alcoholics with a group of people with no substance-abuse issues.

Since alcoholics tend to have impaired decision-making abilities, the researchers wanted to determine if decision-making impairments are specific to addictive disorders, or if other personality disorders play a part.

"Normally, we make choices by weighing immediate benefits of different options relative to possible negative consequences in the longer term," Geert Dom, head of treatment at the center, said in a prepared statement.

"When these abilities are impaired, people are less able to cognitively evaluate the longer-term consequences of their choices," Dom added. "This is reflected in real life by choices that are socially inadequate and/or related to overtly negative outcomes. Substance or polydrug use/abuse is one example."

The researchers found that both alcoholism and antisocial and borderline personality disorders were associated with decision-making impairments. Furthermore, the alcoholics who also had antisocial or borderline personality disorder were particularly impaired.

More information

The National Mental Health Association has more about personality disorders.

Related Stories

No stories found.
logo
www.healthday.com